Assessing The Impact Of Simulation Role On Anxiety And Perceived Outcomes In Undergraduate Nursing Students, Teresa A. Bates

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

Background: Due to large class sizes and limited resources, students participating in high-fidelity simulation experiences may be assigned to an observer role as opposed to an active, nursing role. It is important for educators to determine if anxiety levels and student learning outcomes are comparable regardless of role.

Methods: A quasi-experimental correlational study composed of 132 prelicensure baccalaureate students was conducted.

Results: There were no significant differences between simulation roles for anxiety levels and perceived outcomes for satisfaction, self-confidence in learning, clinical ability, problem solving, confidence in clinical practice, and collaboration.

Conclusions: These findings suggest that either role is an …

Emotional Experience During Couple Support Interactions: The Role Of Attachment Anxiety And Avoidance, E. Megan Lachmar

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The Marriage and Family Therapy clinic at Utah State University conducted a study called the Relationship Checkup in which couple data was collected in an initial 2-hour session and feedback was provided for them in a follow-up 1-hour session. This checkup included completing self-report surveys, having an in-person interview, as well as couple interactions. The current study was carried out within the context of this broader relationship checkup, focusing on the couple support interactions, in which partners discussed a personal issue they would like to change about themselves.

Although a substantial amount of attention has been given to the role …

Self-Management As A Mediator Of The Relationship Between Social Support And Health Outcomes Of African American Adults With Type 2 Diabetes., Tariq N. Al-Dwaikat

Electronic Theses and Dissertations

Type 2 diabetes (T2D) is often associated with serious complications. African American adults have higher rates of diabetes-related complications than other ethnicities. Diabetes self-management reduces the risk of developing biological and psychological symptoms. Social support promotes positive behavior change and self-management that leads to improved biobehavioral and psychosocial outcomes. Few studies explored the relationship between social support dimensions and self-management behaviors, diabetes biomarkers, and psychosocial outcomes of African American adults with T2D. The purpose of this dissertation was to examine the relationships of various dimensions of social support with self-management behaviors and diabetes biomarkers and psychosocial outcomes of African American …

The Relationship Between Auditory Habituation And Anxiety In Autism Spectrum Disorder, David Nicholas Top

Theses and Dissertations

Many individuals with autism spectrum disorder (ASD) have atypical sensory processing and behaviors including sensory sensitivity and low registration of sensory stimuli as well as sensory seeking and avoiding behaviors. Additionally, many individuals with ASD have clinically distressing levels of anxiety. Previous research suggests that there is a link between abnormal sensory processing, anxiety, and ASD. The purpose of this study was to experimentally observe auditory sensory processing using pupillometry methods, between ASD, control, and high-anxious control groups. While a difference in tonic pupil size was observed, there were no reactivity or habituation differences between the groups. There were no …

Development Of Ethologically-Based Inhibitory Avoidance Models Of Fear Memory, Savannah Dalrymple

USF Tampa Graduate Theses and Dissertations

Translational research provides a unique opportunity to investigate innate and conditioned fear to develop an integrated understanding of anxiety disorders, ultimately improving treatment for those afflicted. Many fear conditioning paradigms use physically aversive stimuli to induce fear but ethological stimuli may better represent psychological disorders from a translational standpoint. Natural predators and immobilization have been successful in inducing both innate and contextually conditioned fear in rodents but an inhibitory avoidance paradigm that uses ethologically relevant stimuli has yet to be developed. To expand the use of these stimuli into inhibitory avoidance conditioning, an inhibitory avoidance paradigm was developed to include …

Healing Touch: Enhancing Quality Of Life, Julia Mccann-Khludenev

Evidence-Based Practice Project Reports

Healing touch (HT) is a non-invasive energy therapy used in the management of symptoms of various health conditions. HT utilization has demonstrated enhanced comfort and relief of symptoms such as chronic pain, post-traumatic-stress, depression, and anxiety. The purpose of this evidence-based practice (EBP) project was to promote awareness and appointment compliance rate of HT amongst veterans, and also to determine effectiveness of HT intervention on symptom relief and well-being. The PICO question was: “For Veterans, what is the effect of HT education material and mail notification on appointment compliance rate, and HT delivery on symptom relief and well-being as compared …

The Effect Of Anxiety And Depression On College Students’ Academic Performance: Exploring Social Support As A Moderator, Katherine H. Bisson

Electronic Theses and Dissertations

The purpose of this study is to explore how social support is related to the overall well-being of college students. Literature suggests social support buffers a negative effect of distress on academic performance. This study attempts to provide practical information for a program called Student Opportunities, Advocacy, and Resources (SOAR) at Abilene Christian University (ACU), which assists students and connects them to resources available to support their path to success. A multiple linear regression was conducted to examine the association between anxiety, depression, social support, and academic performance using a sample of 93 students enrolled in this program in Fall …

Reported Interventions For Reducing Anxiety And Distress In Adult Oncology Patients Throughout Their Cancer Experience: A Review Of The Literature And An Analysis Of Adults In Remission, Katie Gomez

Honors Theses

Background: The purpose of this paper is to identify present methods at relieving anxiety and distress in adult oncology patients. According to the American Cancer Association (2016), 1.7 million American will be diagnosed with cancer in 2016, and therefore, it is important for nurses to be competent caregivers to this growing patient population.

Literature Review: A comprehensive review of current literature showed that consistent, competent caregivers, honest communication from the medical team, back massage, and music therapy were effective at cutting mean anxiety and distress scores by as much as 50 percent. Sixteen peer-reviewed articles from around the world …

The External Globus Pallidus: Bidirectional Control Over Anxiety-Related Behavior Mediated By Crfr1, Albert J. Hunt Jr

Dissertations & Theses (Open Access)

Abstract

THE EXTERNAL GLOBUS PALLIDUS: BIDIRECTIONAL CONTROL OVER ANXIETY-RELATED BEHAVIOR MEDIATED BY CRFR1

Albert Lee Joseph Hunt, Jr., B.S.

Advisory Professor: Shane Cunha, Ph.D.

Corticotropin-releasing factor receptor 1 (CRFR1), the principle receptor responsible for the anxiogenic activity of the stress peptide CRF, is abundantly expressed in the external globus pallidus (GPe) raising the question whether activity in the GPe is altered in response to stress. I show that CRFR1 expressing neurons are of the “prototypic” subtype of GPe neurons. I provide evidence of novel circuits from CRF neurons in stress-responsive nuclei, including the paraventricular nucleus of the hypothalamus (PVN) and …

Reduced Eye Contact And Anxiety In Women With The Fmr1 Premutation, Alexis Ruber

Senior Theses

Background. Mothers of children with fragile X syndrome (FXS) have the FMR1 premutation, which affects approximately 1 in 151 women (Seltzer et al., 2012). Women with the FMR1 premutation display elevated social anxiety (Bourgeois et al., 2011), which has been linked with higher levels of gaze anxiety and avoidance in other clinical groups (Schneider et al., 2011). While several studies have suggested women with FMR1 premutation have reduced eye contact (Tassone et al., 2000; Losh, Klusek et al., 2012; Riddle et al., 1998), no study has empirically examined reduced eye contact in the female FMR1 premutation. Like their children with …

Use Of Music To Reduce Anxiety In Short Wait Periods For Patients Receiving Care In An Urgent Care Clinic, Rebecca Anne Parker

Undergraduate Honors Theses

Abstract

The concept of waiting has received limited attention in the world of research. In modern society, waiting has become a commonplace event, especially in healthcare. Although the waiting experience can produce anxiety, healthcare environments can be easily manipulated in order to increase human comfort and reduce situational anxiety. One such way of accomplishing this is to introduce music to an environment. This paper will discuss the findings related to short wait periods, anxiety, and music within the literature, and the findings within this research study. This study found listener-selected music to be statistically effective in reducing anxiety for patients …

Temperament And Behavior Factors In A Community Sample Of Youth With Selective Mutism, Rachele Alexandra Diliberto

UNLV Theses, Dissertations, Professional Papers, and Capstones

Children with selective mutism often present as a very diverse population, with both oppositional (APA, 2013; Cohan et al., 2008; Steinhausen & Juzi, 1996), and anxious symptoms (APA, 2013; Kristensen, 2000; Vecchio & Kearney, 2009) most commonly reported. The first aim of the current study was to validate the presence of previously identified anxious and oppositional behavior factors in a community sample of youth with selective mutism. These factors were previously identified in a clinic sample of youth with selective mutism (Diliberto & Kearney, 2016). The second aim was to examine the association of anxious and oppositional behavior factors with …

Aided Communication For Adults With Developmental Disabilities, Lindsay Bolding

Honors Projects

This honors project is a series of templates that will serve as a guide for residential facilities for individuals with autism and other developmental disabilities. What is the most effective way to facilitate communication in residential facilities for adults with developmental disabilities? While working at this type of facility during my time at Bowling Green State University, I have witnessed a need for implementation of new communication routes in the homes. While skill building such as communication is stressed in the homes, plans for staff to fulfill these skills can be lacking. The templates I have created can be used …

Therapeutic Benefits Of Art Therapy With Adults Who Have Traumatic Brain Injury With Depression And/Or Anxiety, Guadalupe Flores

Undergraduate Honors College Theses 2016-

This honors college thesis is about how art therapy can impact depression and/or anxiety with Traumatic Brain Injury(TBI). Traumatic Brain Injury is a direct blow or penetrating object to the head that was caused by acceleration, deceleration or direct force. TBI can impact quality of life emotionally, physicality and their cognition. Depression is one of the most common diagnosis within TBI clients, about thirty-three percent of the population are diagnosed with depression post one year from their accidents (Driskell, Starosta, & Brenner, 2016). Anxiety is the second most common diagnosis within TBI clients. The art therapy interventions that are developed …

Factors Influencing Preference For Surgical Choice Among Women With Early Stage Breast Cancer, Susan G. Yackzan

Theses and Dissertations--Nursing

Breast cancer is the most common cancer among women in the United States with over 60% of cases diagnosed as early stage disease. For those women without prohibiting clinical or cosmetic concerns, a choice between breast-conserving surgery and mastectomy can be made. Either choice confers equivalent survival. The decision-making process also involves consideration of recurrence risk as well as management of the unaffected, contralateral breast for both future surveillance and risk reduction. In recent years, increasing rates of mastectomy with contralateral prophylactic mastectomy have been reported among women with unilateral, early stage breast cancer. If eligible for a choice among …

Is L-Theanine An Effective Treatment For Reducing Anxiety In Patients Ages 18-25?, Nicole Bubes

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not L-theanine, an amino acid analogue found in green tea leaves, is an effective treatment for reducing anxiety in patients ages 18-25.

Study design: Review of two double-blind, randomized controlled studies and one single-blind, randomized controlled study published in 2007, 2012 and 2013 respectively.

Data sources: PubMed

Outcome(s) measured: Each study measured L-theanine’s ability to reduce acute anxiety with a series of self-report measures assessing acute anxiety and stress, including the Profile of Mood States (POMS), the visual analogue scales (VAS), State-Trait Anxiety …

Can Coloring Pre-Structured Designs That Have Complexity Aid In Reducing Anxiety In Those Greater Than 17 Years Of Age?, Kaitlyn P. Probasco

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective evidence based medicine (EBM) review is to determine whether or not coloring mandalas or designs that have complexity and structure can aid in reducing anxiety in those greater than 17 years of age.

Study Design: Review of three English language randomized controlled trials (RCTs), published in 2007, 2012, and 2015.

Data Sources: Three randomized controlled trials published in peer-reviewed journals obtained using PubMed and EBSCOhost.

Outcomes Measured: The Curry and Kasser study and the van dV and Serice7study both used the State Anxiety Inventory (SAI) to record anxiety. The Henderson …

Patient’S Perception Of Cancer-Related Depression/Anxiety During Their Treatment, Nisha Devi Muthu Krishnan

Master's Theses and Doctoral Dissertations

Patients with cancer are emotionally affected during their cancer treatment course. Sometimes, patient’s psychological issues are overlooked during the actual disease treatment. Cancer patients are at a higher risk of developing anxiety and depression (A&D). A presumptive diagnosis of anxiety and depression was assessed based on a useful tool, the 14 item Hospital Anxiety and Depression Scale (HADS). Patient responses were assessed for the prevalence of anxiety and depression. In all, 102 patients were studied using the questionnaires of HADS. The demographic and clinical details were collected from patients. Breast cancer patients had the highest prevalence of anxiety (31.6%) and …

A Retrospective Chart Review On The Effects Of Cam On Pain And/Or Anxiety In The Oncology And Bone Marrow Transplant Population, Cherry Nelson

DNP Projects

PURPOSE: The purpose of this study was to promote integrative medicine by evaluating the efficacy of Complementary Alternative Medicines (CAM) on pain and/or anxiety reduction in the oncology and bone marrow transplant population. The four modalities of CAM were massage, Jin Shin Jyutsu (JSJ), aromatherapy and narrative medicine.

METHODS: The design was a single center retrospective chart review, focusing on medications for pain and anxiety, self-reported pain levels, self-reported anxiety levels, chronicity of pain and acuity of pain prior to and after the CAM modality/s implementation.

RESULTS: Due to the lack of electronic documentation of massage, aromatherapy and narrative medicine, …

Using Music Intervention To Reduce Anxiety And Agitation For Dementia Residents In Long Term Setting, Sonia Brown

Walden Dissertations and Doctoral Studies

Abstract

Dementia is one of the degenerative conditions that present in old age with a decline in cognitive function resulting in changes in personality and the ability to carry out activities of daily living and social functions. Dementia is usually associated with behavioral disturbances that include anxiety and agitation that pose a challenge for family members or caregivers in an alternate home or care-related facility. The purpose of this project was to design and implement a quality improvement program to evaluate music therapy intervention for residents in a long-term care who have dementia. The aim was to evaluate if music …

The Calm Project: Teaching Mindfulness Meditation In Primary Care Using Computer-Based Application, Vanessa Norton

Nursing Theses and Capstone Projects

Mindfulness-based interventions (MBI) have been studied extensively and the evidence is now credible that even brief techniques, delivered electronically using web-based applications (apps), easily accessed by smart phone, computer, or tablet, are consistently effective at anxiety reduction as well demonstrating efficacy in other commonly occurring comorbidities such as depression, stress, and panic symptoms. The purpose of this DNP project was to examine feasibility and the effect of the app, Calm.com, on anxious adult patients in primary care, using the Recovery Alliance Theory as its theoretical foundation. This pilot study was longitudinal, using a pre-test/post-test measurement of the Generalized Anxiety Disorder …

The Impact Of Pre-Performance Anxiety On Vo2peak Values In Female Collegiate Soccer Players, Mallory J. Wirth

Departmental Honors Projects

Peak oxygen consumption (VO₂peak) testing is commonly performed to assess endurance training effectiveness in athletes, including soccer players. However, how variables such as playing position, training type (off-vs. in-season), and performance anxiety levels affect maximal exercise capacity have not been determined. PURPOSE: The aim of this study was to determine the effect of positioning, training type, and pre-performance directional anxiety on VO₂ max values in female soccer players. METHODS: Sixteen female collegiate soccer players completed two trials using a cycle ergometer. VO₂peak was determined by the participant’s inability to continue pedaling and/or an established plateau …

The Effect Of Music Listening On Anxiety And Agitation In Adult Mechanically Ventilated Patients: A Systematic Review, Kristen M. Trowbridge, Hailee N. Horstman

Williams Honors College, Honors Research Projects

Mechanical ventilation causes anxiety and agitation in patients in intensive care units, which increases risk for complications and prolonged hospital stays. Since pharmacological interventions have adverse effects and are not always effective at reducing anxiety and agitation, nonpharmacological interventions, such as music listening, could be considered. The purpose of this systematic review is to identify, review, and critically appraise the evidence from studies that examined the effect of music listening, compared with standard care, on anxiety and agitation in mechanically ventilated patients in the intensive care unit (ICU). Using search engines, data bases, key words, and criteria, twenty studies are …

Everyone Is Anxious: A Narrative For Admissions Professionals, Students, And Parents, On College Admissions And Anxiety, Sarah Hecklau

Graduate College Dissertations and Theses

Written in the Scholarly Personal Narrative (SPN) style of writing, this thesis explores my personal experience as a college admissions counselor. It offers a reflection of my own college search and application experience, my perspective on the experience of today's high school students, and my professional experience working within an admissions office. The juxtaposition of these three perspectives alongside scholarly references on higher education, philosophy, and anxiety, provides a full-spectrum view of the college admissions process.

The core topic of this reflection is anxiety, and showing how each party experiences anxiety in the college search, application, and selection process. Other …

Assessment Of Anxiety And Depression Among Breast Cancer Patients Undergoing Treatment In Ghana, Kofi Adesi Kyei

Walden Dissertations and Doctoral Studies

Breast cancer patients undergoing radiotherapy often experience severe levels of anxiety and depression. There is a gap in the research literature from Africa, particularly from Ghana, with few studies focusing on the assessment of anxiety and depression among breast cancer patients undergoing radiation treatment. A better understanding was essential to promote efforts to help breast cancer patients cope with their diagnosis and treatment and increase their overall quality of life. This mixed method study examined breast cancer patients in Ghana undergoing radiotherapy and their responses related to anxiety and depression through a concurrent triangulation involving an interview with selected professional …

Identification Of The Microrna Mir-101a And Its Target Ezh2 As Contributors To Rodent Anxiety-Like Behavior, Joshua Cohen

All ETDs from UAB

Anxiety disorders are the most commonly diagnosed mental illness in the United States. Yet current treatment options are of limited efficacy, resulting in chronic disability for many patients. A greater mechanistic understanding of the neural states that cause anxiety behavior is necessary to develop better treatments for anxiety disorders. Since rodent models provide greater opportunity for investigating cellular and molecular under-pinnings of anxiety-like behavior, the present studies utilized rats bred for High Response to novelty (High Responders, HRs) and Low Response to novelty (Low Responders, LRs) which naturally exhibit low and high levels of anxiety respectively. Because the HR/LR anxiety …

The Mobius Strip Of Total Health: Manipulation Of Thinking Prior To Exercise Activity, Joseph A. Schenk

Honors College Theses

Research shows mental and physical health are interdependent. We sought to test various methods of external motivation to effect change in the physical performance and mental health of students enrolled in walking classes. We hypothesized that if there was a correlation between physical exercise and mental health and we could motivate individuals to exercise, then that motivation would in turn result in better mental health. Participants, 19 in the pilot and 320 in the main study, were randomly assigned into three groups to receive messages prior to conducting physical activity: those who received neutral messages about exercise, those who received …

Impact Of Chemotherapy On Nicotine Dependence, Yasmin Alkhlaif

Theses and Dissertations

Although cigarette smoke has been implicated in a causal relationship with various types of cancers, around 62% of all cancer patients are current smokers, recent quitters, or former smokers. While most patients who are smokers are motivated to quit after cancer diagnosis, 25 -30% of these patients continue to smoke. Furthermore, most quitters relapse after 2-3 years of post-chemotherapy. This represents a major health concern since several clinical studies revealed that perpetuation of smoking in cancer populations attenuates patient's well-being and quality of life. Smoking may impair healing, attenuate the efficacy of chemotherapy, increase the disease complications and diminish survival …